Liver changes in severe Plasmodium falciparum malaria: histopathology, apoptosis and nuclear factor kappa B expression

Malaria Journal

Research

Vasant Khachonsaksumet¹  Parnpen Viriyavejakul²  Chuchard Punsawad³ 

[1] Department of Tropical Pathology, Faculty of Tropical Medicine, Mahidol University, 420/6 Rajvithi Road, 10400, Bangkok, Thailand;Department of Tropical Pathology, Faculty of Tropical Medicine, Mahidol University, 420/6 Rajvithi Road, 10400, Bangkok, Thailand;Center for Emerging and Neglected Infectious Diseases, Mahidol University, 73170, Salaya, Nakhon Pathom, Thailand;School of Medicine, Walailak University, 222, Thasala District, 80161, Nakhon Si Thammarat, Thailand;

关键词: Malaria;    Plasmodium falciparum;    Liver;    Kupffer cells;    Bilirubin;    Nuclear factor kappa B;    NF-κB p65;    Cleaved caspase-3;    Apoptosis;    Immunohistochemistry;   

DOI  :  10.1186/1475-2875-13-106

 received in 2013-12-19, accepted in 2014-03-11,  发布年份 2014

来源: Springer

【 摘 要 】

BackgroundLiver involvement in severe Plasmodium falciparum infection is commonly a significant cause of morbidity and mortality among humans. The clinical presentation of jaundice often reflects a certain degree of liver damage. This study investigated the liver pathology of severe P. falciparum malaria as well as the regulation and occurrence of apoptosis in cellular components of formalin-fixed, paraffin-embedded liver tissues.MethodsThe liver tissues used in the study came from patients who died from P. falciparum malaria with hyperbilirubinaemia (total bilirubin (TB) ≥ 51.3 μmol/L or 3 mg/dl) (12 cases), P. falciparum malaria without hyperbilirubinaemia (TB < 51.3 μmol/L) (10 cases); and patients who died due to accidents, whose liver histology was normal (the control group) (10 cases). The histopathology of the liver tissue was studied by routine histology method. Caspase-3 and nuclear factor kappa B (NF-κB) p65 expressions were determined using immunohistochemistry.ResultsThe severity of liver histopathology, occurrence of apoptosis and NF-κB p65 activation in P. falciparum malaria were associated with higher TB level. Significant correlations were found between NF-κB p65 expression and apoptosis in Kupffer cells and lymphocytes in the portal tracts.ConclusionsHyperplastic Kupffer cells and portal tract inflammation are two main features found in the liver tissues of severe P. falciparum malaria cases. In addition, NF-κB is associated with Kupffer cells and lymphocyte apoptosis in severe P. falciparum malaria.

【 授权许可】

CC BY   
© Viriyavejakul et al.; licensee BioMed Central Ltd. 2014